Active NPI
David Weinerman, MD
- Gastroenterology Physician
- Ashtabula, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35.120747
- Practice address
- 2112 Lake Ave
Ashtabula, OH 44004-3436 - Phone
- (440) 998-0322
- Fax
- (440) 998-4525
- NPI assigned
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57013274 | OH | |
| Gastroenterology Physician | 207RG0100X | 35.120747 | OH | Primary |
Addresses
Primary practice location
2112 Lake Ave
Ashtabula, OH 44004-3436
Mailing address
2455 Claver Rd
University Heights, OH 44118-4630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ohio State University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-6969
Hospital & facility affiliations
- Ashtabula County Medical Center
- Cleveland Clinic
- Hillcrest Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 100 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 144 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57013274 | OH | MD | Internal Medicine Physician |
| 35.120747 | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Ashtabula County Medical Center | Current | Accepting new patients | |
| Ashok V. Kondru, MD Inc | Gastroenterology | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
2112 Lake Ave
Ashtabula, OH 44004
Phone (440) 998-0222
234 N Chestnut St
Jefferson, OH 44047
Phone (440) 576-8933
Interoperability endpoints
- dweinerman242854@direct.ccf.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Ashtabula, OH
- NPI 1942247143
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Gastroenterology Physician
- Ashtabula, OH
- NPI 1114114790
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashtabula, OH
- NPI 1285607416
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1881883940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 CLAVER RD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441184630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 LAKE AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440043436",
"telephone_number": "440-998-0322",
"fax_number": "440-998-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINERMAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57013274",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.120747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.